Healthcare Provider Details

I. General information

NPI: 1366841777
Provider Name (Legal Business Name): JAZMIN DURANT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2014
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 GEORGE ST
NEW BRUNSWICK NJ
08901-2008
US

IV. Provider business mailing address

3 BERING WAY
SOMERSET NJ
08873-7351
US

V. Phone/Fax

Practice location:
  • Phone: 917-847-3809
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05816000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: